CAJ | 학술논문

目的：探讨术后早期肠内营养在右半结肠癌和左半结肠癌应用对比。方法选择我院2012年5月至2014年6月收治的结肠癌行左、右半结肠癌术后行早期影营养支持的患者80例，对其临床资料进行回顾性分析。结果左结肠癌切除术、右结肠癌切除术在术后1d及术后8d对营养指标进行测定，左半结肠癌患者术后腹泻、腹胀、呕吐、吻合口瘘发生率显著低于右半结肠癌，差异有统计学意义（P<0.05）。结论在结肠癌行左半结肠切除术的患者中，可在早期对肠内营养放心使用，但对右半结肠切除术的患者，需对并发症的发生进行积极预后，留意观察药物的过渡，全肠内营养不宜过早，以确保临床应用质量，降低并发症发生率，加快机体康复进程，改善预后及患者生存质量。
목적：탐토술후조기장내영양재우반결장암화좌반결장암응용대비。방법선택아원2012년5월지2014년6월수치적결장암행좌、우반결장암술후행조기영영양지지적환자80례，대기림상자료진행회고성분석。결과좌결장암절제술、우결장암절제술재술후1d급술후8d대영양지표진행측정，좌반결장암환자술후복사、복창、구토、문합구루발생솔현저저우우반결장암，차이유통계학의의（P<0.05）。결론재결장암행좌반결장절제술적환자중，가재조기대장내영양방심사용，단대우반결장절제술적환자，수대병발증적발생진행적겁예후，류의관찰약물적과도，전장내영양불의과조，이학보림상응용질량，강저병발증발생솔，가쾌궤체강복진정，개선예후급환자생존질량。
Objective To investigate aPPlication comParison of enteral nutrition in early stage of PostoPeration for right and left colon carcinoma. Method choose 80 cases with colon carcinoma treated with right and left colon carcinoma oPeration and enteral nutrition in early stage of PostoPeration for in our hosPital during May 2012 and June 2014. Carry on review analysis for their clinical data. Result test nutritional Parameters 1 days and 8 days after left and right colon resection cancer, and PostoPerative diarrhea, abdominal distention, nausea and vomiting, anastomosis fistula incidence after left colon carcinoma oPeration was significantly lower than right colon carcinoma,and difference showed statistical significance(P<0.05). Conclusion Patients with left colon carcinoma resection, enteral nutrition can be aPPlied for sure in early stage, but for right colon carcinoma resection Patients, comPlications occurrence rate should be Paid attention to with Positive Prognosis with medicine transition, enteral nutrition should not be taken early to ensure quality of clinical aPPlication, reduce comPlication rate, sPeed uP rehabilitation Process, and imProve Prognosis and life quality of Patients.